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Arterialization of the portal vein in cirrhosis: The findings at wedge hepatic venography

Cardiovascular radiology volume 1, pages 255–259 (1978)Cite this article

Abstract

A new operation for the treatment of cirrhosis and portal hypertension has recently been described involving arterialization of the portal vein in combination with an end-to-side portacaval shunt. We present, for thefirst time, the appearances at wedge hepatic venography. No significant change is seen in the wedge hepatic pressure as a result of this technique, and the sinusoidal pattern is preserved. Filling of the portosplanchnic collaterals is not as frequent as after end-to-side shunts alone, and the appearances seem to reflect improved sinusoidal perfusion. The clinical results have been encouraging.

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References

  1. Adamsons, R.J., Moskowitz, H., Lerner, B.: Portacaval shunt with arterialization of the hepatic portion of the portal vein. Curr. Top. Surg. Res. 2:87–92, 1970

    Google Scholar 

  2. Adamsons, R.J., Kinkhabwala, M., Moskowitz, H., Himmelfarb, E., Minkowitz, S., Lerner, B.: Portacaval shunt with arterialization of the hepatic portion of the portal vein. Surg. Gynecol. Obstet. 135:529–535, 1972

    PubMed  CAS  Google Scholar 

  3. Adamsons, R.J., Levin, D.C.: Hepatic encephalopathy after portosystemic shunt treated by arterialization of intrahepatic portal vein. Surg. Forum 25:348, 1974

    PubMed  CAS  Google Scholar 

  4. Adamsons, R.J., Arif, S., babich, A., Butt, K., Lam, A., Minkowitz, S.: Arterialization of the liver in combination with a portacaval shunt in the dog. Surg. Gynecol. Obstet. 140:594–600, 1975

    PubMed  CAS  Google Scholar 

  5. Adamsons, R.J., Arif, S., Babich, A., Butt, K., Ikramuddin, S., Lam, A.: The effect of arterialization of the portal vein on the prevention of atrophy of the hepatic parenchyma in dogs with portacaval shunt. Eur. Surg. Res. Abstr. 8 (Supplement) 16, 1976

    Google Scholar 

  6. Adamsons, R.J., Arif, S., Babich, A., Butt, K., Lam, A., Ikramuddin, S., Minkowitz, S.: Hemodynamic basis of long-term survival of dogs with portacaval shunt and arterialization of the liver. Abstract No. 43, Fourth World Congress Collegium Internationale Chirurgie Digestivae (DICD). Davos, Switzerland, September 1976

  7. Adamsons, R.J., Butt, K., Swaminath, I., DeRose, J., Dennis, C.R., Kinkhabwala, M.: Portacaval shunt with arterialization of the portal vein by means of a low flow arterio-venous fistula. Presented at the American College of Surgery, Dallas, Texas, October 1977

  8. Bookstein, J., Boijsen, E., Olin, T., Vang, J.: Angiography after end-to-side portacaval shunt: Clinical laboratory and pharmacoangiographic observations. Invest. Radiol. 6:101–109, 1971

    PubMed  CAS  Google Scholar 

  9. Burlui, D., Ratin, O., Maneseo, G., Téju, G.: Artérialisation portale par la veine ombilicale réperméabilisée. La Presse Médicale 76:581–584, 1968

    PubMed  CAS  Google Scholar 

  10. Fritsch, A., Funovics, J., Gangl, A., Horak, W., Grabner, G., Kohl, P.: Die kontrollierte Arterialisation der Leber. II. Klinische Ergebnisse Langenbecks. Arch. Chir. 336:67–69, 1974

    Article  CAS  Google Scholar 

  11. Maillard, J.N., Rueff, B., Prandi, D., Sicot, C.: Hepatic arterialization and portacaval shunt in hepatic cirrhosis: An assessment. Arch. Surg. 108:315–320, 1974

    PubMed  CAS  Google Scholar 

  12. matzander, U.: Methode und Technik der druck adaptierten Leberarterialisation mit portacavaler Anastomose. Chirurg 45:226, 1974

    PubMed  Google Scholar 

  13. Novak, D., Bützow, G.H., Becker, K.: Hepatic occlusion venography with a balloon catheter in portal hypertension. Radiology 122:623, 1977

    PubMed  CAS  Google Scholar 

  14. Otte, J.B., Lambott, L., Kestens, P.M.: Hepatic arterialization and portacaval shunt in hepatic cirrhosis. Abstract No. 42, Fourth World Congress of Collegium Internationale Chirurgie Digestivae (CICD). Davos, Switzerland, September 1976

  15. Redeker, A.G., Geller, H.M., Reynolds, T.B.: Hepatic wedge pressure, blood flow, vascular resistance and oxygen consumption in cirrhosis before and after end-to-side portacaval shunt. J. Clin. Invest. 37:606–618, 1958

    PubMed  CAS  Google Scholar 

  16. Reuter, S.R., Orloff, M.J.: Wedged hepatic venography in patients with end-to-side portacaval shunts. Radiology 111: 563–566, 1974

    PubMed  CAS  Google Scholar 

  17. Reuter, S.R., Berk, R.N., Orloff, M.J.: An angiographic study of the pre- and postoperative hemodynamics in patients with side-to-side portacaval shunts. Radiology 116:33–39, 1975

    PubMed  CAS  Google Scholar 

  18. Von Buerger, K., Zimmermann, H.B., Huebner, R., Hagemann, E., Muenchow, R., Tausch, W.: Zusätzliche Arterialisation der Leber bei portosystemischen Shuntoperationen. Der iliko-portale Saphenabypass. Zentralbl. Chir. 98:558–561, 1973

    Google Scholar 

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Affiliations

  1. Department of Radiology State University of New York, Downstate Medical Center, 450 Clarkson Avenue, Box 1208, 11203, New York, Brooklyn, USA

    E. C. Martin M.D. & D. H. Gordon

  2. Department of Surgery, State University of New York, Downstate Medical Center, Brooklyn, New York, USA

    R. J. Adamsons

Authors
  1. E. C. Martin M.D.
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  2. D. H. Gordon
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  3. R. J. Adamsons
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Martin, E.C., Gordon, D.H. & Adamsons, R.J. Arterialization of the portal vein in cirrhosis: The findings at wedge hepatic venography. Cardiovasc Radiol 1, 255–259 (1978). https://doi.org/10.1007/BF02552052

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  • DOI: https://doi.org/10.1007/BF02552052

Key words

  • Cirrhosis
  • Portal vein arterialization
  • Portacaval shunt, end-to-side